Veterans form
Please fill out this form to submit information about a relative that served or is serving in the military. This information must be submitted no later than Oct. 28, 2016. You may also download the PDF Form.

If you attach a photo(s), the photo(s) must be JPEG, no less than 2.5 inches wide and no less than 200 dpi/ppi resolution.
Veteran's information

Name of Veteran
Required
Branch of Service
Required
Highest Rank
Required
Medals/Honors
Locations Served
Years In Service
Required
Submitter's Information

Submitted by:
Required
Telephone:
Required
Email Address:
Photo submission

Upload photo(s)
Total limit: 512KB
GO
Top Jobs



GARAGE SALES
The Galena Gazette, 716 S. Bench St., Galena , IL 61036, 815.777.0019